Skip to main content Accessibility help
×
Home

Influencing Readiness and Intentions to Offer Tobacco Dependence Treatment Through Training: King Hussein Cancer Center and Global Bridges Promoting an Underutilised Specialty in the Eastern Mediterranean Region

  • Feras I. Hawari (a1), Rasha K. Bader (a1), Nour A. Obeidat (a1), Hiba S. Ayub (a1), Iyad M. Ghonimat (a1), J. Taylor Hays (a2) and Richard D. Hurt (a2)...

Abstract

Introduction: Although tobacco dependence treatment (TDT) is key to tobacco control, there continues to be a shortage of services in the Eastern Mediterranean Region (EMR). Barriers to offering services include the lack of training and education.

Aims: To create a network of healthcare providers (HCPs) capable of advancing TDT, King Hussein Cancer Center – the regional host for Global Bridges in the EMR – developed, implemented, and evaluated a regional TDT training programme.

Methods: The programme employed a predisposing–enabling–reinforcing framework, and utilised a combination of learning techniques. The evidence-informed curriculum aimed to influence knowledge, confidence, and competence, and the evaluation mechanism was aligned with these aims.

Results and discussion: Training produced a 37% and 23% gain in knowledge and TDT-specific competencies, respectively. The majority of participants reported that the workshops enhanced confidence, and 72% reported intentions for positive change. Participants rated the workshops highly, and anticipated value from joining Global Bridges network. Immediate outcomes indicate success in advancing participants’ self-efficacy and readiness to treat. Intentions for positive change may potentially be the first step in modifying practice.

Conclusion: Capacity building in TDT could be the first step in meeting the need for trained HCPs through positively influencing knowledge, confidence, competence, and intentions.

Copyright

Corresponding author

Address for correspondence: Dr Feras I Hawari, Director, Cancer Control Office, King Hussein Cancer Center, P O Box 1269 Amman – 11941, Jordan. Email: fhawari@khcc.jo

References

Hide All
Abdullah, A. S., Stillman, F. A., Yang, L., Luo, H., Zhang, Z., & Samet, J. M. (2014). Tobacco use and smoking cessation practices among physicians in developing countries: A literature review (1987–2010). International Journal of Environmental Research and Public Health, 11 (1), 429455. doi: 10.3390/ijerph110100429.
Adams, S. G., Pitts, J., Wynne, J., Yawn, B. P., Diamond, E. J., Lee, S. et al. (2012). Effect of a primary care continuing education program on clinical practice of chronic obstructive pulmonary disease: Translating theory into practice. Mayo Clinic Proceedings, 87 (9), 862870. doi: 10.1016/j.mayocp.2012.02.028.
AlKawari, Al-Koohaji, Bucheeri, Al-Joder, & Abu-Hassan. (2009). Tobacco Use, Exposure to Secondhand Smoke, and Cessation Counseling Among Health Professions Students: Kingdom of Bahrain, Global Health Professions Student Survey (GHPSS). Retrieved from http://apps.who.int/fctc/reporting/party_reports/bahrein_annex2_ghpss.pdf.
Alzoubi, K. H., Azab, M., Khabour, O. F., Al-Shamaila, A. W., Ayoub, N. M., Al-Omiri, M. K. et al. (2010). Smoking-cessation practice guidelines: Awareness and implementation among medical teams. International Journal of Pharmacy Practice, 18 (2), 9399.
Awad, M. A., El Kouatly, M., & Fakhry, R. (2010). Smoking counseling practices of physicians in the United Arab Emirates. Global Health Promotion, 17 (4), 514.
Caplan, L., Stout, C., & Blumenthal, D. S. (2011). Training physicians to do office-based smoking cessation increases adherence to PHS guidelines. Journal of Community Health, 36 (2), 238243. doi: 10.1007/s10900-010-9303-0.
Carson, K. V., Verbiest, M. E., Crone, M. R., Brinn, M. P., Esterman, A. J., Assendelft, W. J. et al. (2012). Training health professionals in smoking cessation. Cochrane Database of Systematic Reviews, 5, Cd000214. doi: 10.1002/14651858.CD000214.pub2.
Centers for Disease Control and Prevention. (2013). Morbidity and Mortality Weekly Report: Health-Care Provider Screening for Tobacco Smoking and Advice to Quit: 17 Countries, 2008–2011. Retrieved from: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6246a4.htm.
Eldein, H. N., Mansour, N. M., & Mohamed, S. F. (2013). Knowledge, attitude and practice of family physicians regarding smoking cessation counseling in family practice centers, suez canal university, egypt. Journal of Family Medicine and Primary Care, 2 (2), 159163. doi: 10.4103/2249-4863.117411.
Evans, J. A., Mazmanian, P. E., Dow, A. W., Lockeman, K. S., & Yanchick, V. A. (2014). Commitment to change and assessment of confidence: Tools to inform the design and evaluation of interprofessional education. Journal of Continuing Educaction in the Health Professions, 34 (3), 155163. doi: 10.1002/chp.21246.
Hawari, F. I., & Bader, R. K. (2014). Advancing tobacco dependence treatment services in the eastern mediterranean region: International collaboration for training and capacity-building. Sultan Qaboos University Medical Journal, 14 (4), e442e447.
Hughes, J. R. (2007). Tobacco treatment specialists: A new profession. Journal of Smoking Cessation, 2 (SupplementS1), 27. doi: 10.1375/jsc.2.supp.2.
Kralikova, E., Bonevski, B., Stepankova, L., Pohlova, L., & Mladkova, N. (2009). Postgraduate medical education on tobacco and smoking cessation in Europe. Drug and Alcohol Review, 28 (5), 474483. doi: 10.1111/j.1465-3362.2009.00104.x.
Moore, D. E. Jr., Green, J. S., & Gallis, H. A. (2009). Achieving desired results and improved outcomes: Integrating planning and assessment throughout learning activities. Journal of Continuing Education in the Health Professions, 29 (1), 115. doi: 10.1002/chp.20001.
Muramoto, M. L., & Lando, H. (2009). Faculty development in tobacco cessation: Training health professionals and promoting tobacco control in developing countries. Drug and Alcohol Review, 28 (5), 498506. doi: 10.1111/j.1465-3362.2009.00106.x.
Physician Behavior and Practice Patterns Related to Smoking Cessation: Full Report. (2007). Accessed Feb 2014. Retreived from https://members.aamc.org/eweb/upload/Physician%20Behavior%20and%20Practice%20Patterns.pdf.
Rahim, H. F., Sibai, A., Khader, Y., Hwalla, N., Fadhil, I., Alsiyabi, H. et al. (2014). Non-communicable diseases in the Arab world. Lancet, 383 (9914), 356367. doi: S0140-6736(13)62383-1 [pii] 10.1016/S0140-6736(13)62383-1 [doi].
Raw, M., McNeill, A., & Murray, R. (2010). Case studies of tobacco dependence treatment in Brazil, England, India, South Africa and Uruguay. Addiction, 105 (10), 17211728. doi: 10.1111/j.1360-0443.2010.03043.x.
Richmond, R., Zwar, N., Taylor, R., Hunnisett, J., & Hyslop, F. (2009). Teaching about tobacco in medical schools: A worldwide study. Drug and Alcohol Review, 28 (5), 484497. doi: 10.1111/j.1465-3362.2009.00105.x.
Rubio-Valera, M., Pons-Vigues, M., Martinez-Andres, M., Moreno-Peral, P., Berenguera, A., & Fernandez, A. (2014). Barriers and facilitators for the implementation of primary prevention and health promotion activities in primary care: A synthesis through meta-ethnography. PLoS One, 9 (2), e89554. doi: 10.1371/journal.pone.0089554.
Sreedharan, J., Muttappallymyalil, J., & Venkatramana, M. (2010). Nurses' attitude and practice in providing tobacco cessation care to patients. Journal of Preventive Medicine and Hygiene, 51 (2), 5761.
Stead, M., Angus, K., Holme, I., Cohen, D., & Tait, G. (2009). Factors influencing European GPs' engagement in smoking cessation: A multi-country literature review. British Journal of General Practice, 59 (566), 682690. doi: 10.3399/bjgp09X454007.
Vogt, F., Hall, S., & Marteau, T. M. (2005). General practitioners' and family physicians' negative beliefs and attitudes towards discussing smoking cessation with patients: A systematic review. Addiction, 100 (10), 14231431. doi: 10.1111/j.1360-0443.2005.01221.x.
Wakefield, J., Herbert, C. P., Maclure, M., Dormuth, C., Wright, J. M., Legare, J. et al. (2003). Commitment to change statements can predict actual change in practice. Journal of Continuing Education in the Health Professions, 23 (2), 8193. doi: 10.1002/chp.1340230205.
World Bank. (1999). Curbing the epidemic - governments and the economics of tobacco control. Development in practice. Washington DC, World Bank. Retrieved from http://documents.worldbank.org/curated/en/1999/05/437174/curbing-epidemic-governments-economics-tobacco-control.
World Health Organization. (2010). World health organization framework convention on tobacco control. Guidelines for implementation of Article 14. Retrieved from http://www.who.int/fctc/guidelines/adopted/article_14/en/.
World Health Organization. (2013). Report on the global tobacco epidemic. Enforcing bans on tobacco advertising, promotion, and sponsorship. Retrieved from http://www.who.int/tobacco/global_report/2013/en/.
World Health Organization. (2015). Report on the global tobacco epidemic. Raising taxes on tobacco. Retrieved from http://www.who.int/tobacco/global_report/2015/en/.
Wynn, A., Coleman, T., Barrett, S., & Wilson, A. (2002). Factors associated with the provision of anti-smoking advice in general practice consultations. British Journal of General Practice, 52 (485), 997999.
Zwar, N. A., Richmond, R. L., Davidson, D., & Hasan, I. (2009). Postgraduate education for doctors in smoking cessation. Drug and Alcohol Review, 28 (5), 466473. doi: 10.1111/j.1465-3362.2009.00103.x.

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed